Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 31710 | AL |
NPI | 1013978287 |
---|---|
Provider Name | Jayme E Locke |
First Address | Birmingham, AL 35255-5310 |
Second Address | Baltimore, MD 21205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 07/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
409704100 | (05) | MD |
I48554 | (02) | MD |